Presentation on theme: "HEALTH CARE REFORM 2009 Craig Stern, RPh, PharmD, MBA AMCP, Student Forum June 20, 2009."— Presentation transcript:
HEALTH CARE REFORM 2009 Craig Stern, RPh, PharmD, MBA AMCP, Student Forum June 20, 2009
DRIVERS “Isms” –Globalism –Information-ism –Consumerism Public vs. Private Health Care The Economy –GDP: 5% to 20% by 2050 –Healthcare swamps all other agendas, e.g. education, state budgets, household budgets
BUT EPIDEMICS TRUMP ECONOMICS
REALITY “How can it be that the best health care in the world costs twice as much as the best medical care in the world?” Uwe Reinhardt Geographic variation Variation in volume and intensity of services, but no better outcomes
PRESIDENT’S PLAN Goal: Overhaul Health Care Fund: Savings From Provider Services Argument: Fixing Health Care System Leads To: oIncrease GNP oLower unemployment oSave families $2600 by 2020 Plan oIT: You can’t improve what you don’t measure oResearch into what works oPrevention and wellness oChanges in financial incentives to providers
PROVIDER PLANS Who: Hospitals, MDs, PhRMA, Insurers, Device Makers, Labor Goal: Reduce Costs! Save $1.7T Plan: Improving care for chronic diseases Streamline administrative tasks Reduce unnecessary care
PROVIDER PLANS – SPECIFICS Proposals Reduce medical errors Switch to common insurance forms Improve measures of MD performance Reduce # of patients readmitted to hospitals Improve efficiency of drug development Expand in-home care for patients w/ long-term illness Curb Overuse – MDs Caesarean sections Back-pain management Antibiotics for sinusitis Diagnostic imaging
WHAT HAPPENS TO PHARMACY? More people insured More care, especially ambulatory care More prevention, wellness More drugs! Warning – Pay attention to the patient and the purchaser. They have the need, and they pay the bills.
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